Latest Updated 2023 With Correct
Questions And Answers
2.A nurse is caring for a client who is scheduled to have his alanine aminotransferase
(ALT) level checked. The client asks the nurse to explain the laboratory test. Which of
the following is an appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine
and BUN measure your kidney function
d. “This test is used to check how your kidneys are working”
.
3.A nurse is caring for a client who has a prescription for morphine 5mg IM
accidentally administers the whole 10 mg from the single-dose vial. Which of the
following actions should the nurse take first?
e. Notify the client’s provider.
f. Report the incident to the pharmacy.
g. Complete an incident report.
, b. -Measure the client’s BP after the nurse administers antihypertensive meds.
c. -Use a communication board to ask what the client wants for
lunch.
1. A nurse is teaching a group of older adults about expected changes of aging.
Which of the following statements by a group member indicates that the teaching
has been effective?
"I should expect my heart rate to take longer to return to normal after
excessive as I get older."
2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which
of the following abdominal assessments should the nurse expect?
Absent bowel sounds with distention
3. A nurse is planning care for a client who reports abdominal pain. An assessment
by the nurse reveals the client has a temperature of 39.2 degrees C (102
degrees F), heart rate of 105/min, a soft contender abdomen, and census
overdue by 2 days. Which of the following findings should be the nurse's priority?
Temperature
4. A nurse is caring for a child who is postoperative following a tonsillectomy. Which
of the following actions should the nurse take?
Administer analgesics to the child on a routine schedule throughout the day
and night.
5. A nurse is assessing the heart sounds of a client who has developed chest pain
that becomes worse wth inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with diaphragm of the